person
Mrs. Donna Shilane Outlaw-thomas, APRN-PMHNP
Psychiatric/Mental Health Nurse Practitioner in Greenville, South Carolina
NPI 1093347973

Donna Shilane Outlaw-thomas is a Psychiatric/Mental Health Nurse Practitioner based in Santee, SC and is specialized in Psychiatric/Mental Health. Donna Shilane Outlaw-thomas practices in Greenville, SC and has the professional credentials of APRN-PMHNP. The NPI Number for Donna Shilane Outlaw-thomas is 1093347973 and holds a License No. 100313 (South Carolina).

The current practice location address for Donna Shilane Outlaw-thomas is 41 Park Creek Dr, Greenville, SC and can be reached out via phone at 803-600-7106 and via fax at 803-610-4197.

Location: 41 Park Creek Dr, Greenville, SC, 29142-0405
person
Provider Profile Details
NPI Number
1093347973
Provider Name
Donna Shilane Outlaw-thomas
Credential
APRN-PMHNP
Provider Entity Type
Individual
Gender
Female
Address
41 Park Creek Dr, Greenville, SC, 29142-0405
Phone Number
803-600-7106
Fax Number
803-610-4197
Provider Enumeration Date
02/07/2020
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SCL527 05 SC
SCL572 05 SC
RCO171 05 SC
institution
Provider Business Practice Location Address Details
Address
41 Park Creek Dr
City
State
Zip
29605-4270
Phone Number
803-600-7106
Fax Number
803-610-4197
person
Provider Business Mailing Address Details
Address
41 Park Creek Dr
City
State
Zip
29605-4270
Phone Number
803-600-7106
Fax Number
803-610-4197
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Administrator
Taxonomy
License No.
363LP0808X (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
100313 (South Carolina)
Definition
Definition to come...
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